THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..
... levels to meet care and service quality objectives. Support orientation and ... years' experience working in the healthcare setting. Minimum two (2) years ... management. For Behavioral Health, C.M...
... members. Responsibilities The Field Care Manager, Behavioral Health 2 work assignments ... a Care Management Entity. Care Manager Plus serves as the single ... Position Responsibilities: The Field Care..
... independently refer suspected member fraud, provider fraud, and member abuse cases ... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory ... Master's degree in Law,..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
